FN 225:
Nutrition
Noy Rathakette Ph.D. Health Professions Division Lane Community College Eugene, Oregon LECTURE 4B:
Carbohydrates
|
EXAM
2
is
NEXT week (during Week 5
) (over both parts of chapter 4), so study: SQ 4-1
Review Quiz for Exam 2 SQ 4-2 LECTURE OUTLINE Chapter 4 part 1 and L3A and L3B LECTURE OUTLINE Chapter 4 part 2 and L4A and L4B FORUMS for Weeks 3 & 4 Regarding the scores on Exam 1: As you can see, many students earned high scores on Exam 1. If you were disappointed in your score, for the next exam, these steps that might help improve your score.
Some of the exam questions more commonly missed were ones that were asked in a slightly different way on your Study Questions. For example, one exam
question asked what nutrients MUST a food label state the contents (as
percentages of the DVs)? That question was #18 on page 28 in your
packet.
|
Policy about
returning exams:
To prevent exams from being in circulation (which would decrease their
reliability as an assessment tool), you're not able to see graded exams
online. Students in campus sections are also not allowed to keep
their
exams.
|
ACCESSING PREVIOUS MESSAGES: If you want to see a message you've already read, click "Participants",
choose to send
a message to the person, then click on
"Message
History" in the top right.
You can also click "Message History" while you're reading a message from someone. FORUM:
CLARIFICATION: On page 64 of your packet, take a look at what it says about sucrose and cross off a few words and add a word. Fruits naturally have three types of sugar: glucose, fructose and also sucrose. Some vegetables (the sweeter-tasting ones like sweet peas) also have these three sugars. part of page 64:
Now continue with LECTURE OUTLINE (page 47 of packet). Review: What carbohydrates can humans make? Humans
can make both galactose (from glucose) and
lactose (from combining glucose and
galactose). Humans can also make glycogen (from
combining many glucose molecules).
II
Processing of Foods with Carbohydrates
Page 47 of your LECTURE OUTLINE describes the definitions we'll use of foods that are WHOLE, PARTITIONED or REFINED. Sometimes other definitions are used, but these are the ones that we'll use. When making juice form something like an orange, the main thing that is removed is the fibrous part of the orange. A. From these definitions, see if you can pencil in what you think the listed foods on page 47 would be, WHOLE, PARTITIONED or REFINED. Leave the "wheat flour" one blank. You'll be able to fill it in later. B. Consuming lots of refined foods can change carbohydrate intake in two important ways. It can increase your sugar intake and decrease your fiber intake. C. Added sugar in foods. When trying to determine if
a food is high in sugar, you can look
at food label for grams of sugar.
|
Directly
below are the Nutrition
Facts for a 12-ounce can of Coke.
Here the Serving Size for the Nutrition
Facts is 12
ounces.
Fill in
these above values in the blanks of that part of your Lecture Outline.
That 12-ounce can would have almost 10 teaspoons of sugar (39 grams of sugar divided by 4 grams per teaspoon). |
Directly below are the Nutrition Facts for a 20-ounce plastic bottle of Mountain Dew. Here the Serving Size for the Nutrition Facts is 8 ounces. If you
drank this whole bottle of of Mountain
Dew, you would be getting almost 20 teaspoons
of sugar.
(31 grams of sugar divided be 4 = almost 8 teaspoons of sugar per 8 ounces. 8 teaspoons of sugar multiplied by 2.5 servings per bottle = almost 20 teaspoons of sugar for the entire 20-ounce bottle.) |
Directly below are the Nutrition Facts for a 12-ounce can of Slim Fast. How many teaspoons of sugar would that be equal to? I don't have a can in front of me and it could be some of that sugar is lactose. |
Watch the
following Video Clip to find out how many 1-teaspoon sugar cubes are in
this size Big Gulp container.
Video
Clip: Big Gulpapproximately 6 minutes |
If an
approximately 6-minute movie isn't showing up
just above on
your
computer, you may
not have the latest version of QuickTime on your computer. Click here
to download the newest version of Quick Time. |
Above are the Nutrition Facts for an 8-ounce serving of Blueberry Yogurt. The 39 grams of sugar shown on the Nutrition Facts are a combination of lactose in the milk, fructose and sucrose in the blueberries and sucrose in table sugar. |
Above are
the Nutrition
Facts for an 8-ounce serving of Plain
Yogurt. There is no added sugar so the
17 grams of sugar shown on the Nutrition
Facts
are coming from lactose in
the milk.
|
D.
Enrichment Page 47 in the packet tells you that if a food label uses the term enriched, it means that 5 specific nutrients are required to be added to white flour and its products as well as to white rice. Those 5 nutrients are added at levels about what they would have been before the flour or rice was partitioned. The Enrichment Act requires that these 5 nutrients be added to all refined grain products before they are sold, so you only see in stores white flour that says "enriched". |
These days, many breads that are made entirely with WHOLE grain flour use 100% on the label. |
Now go back
to the part of page 47
in your packet where you're asked to label whether
you think the
listed foods are WHOLE,
PARTITIONED or REFINED. What would you say about "wheat
flour"?
There are at least two reasons why processed foods are often cheaper than whole foods. One is that processed foods can be stored longer before they need to be purchased or used. The germ in whole wheat flour has beneficial fats in it that can go rancid if not sold and used right away. Fresh vegetables and fruits have enzymes in them that cause the food to decompose. While the processed foods can be stored longer, the processing cause them to lose MANY beneficial nutrients. The above photo of a 1980 Twinkie (technically a Sno Ball cupcake) was taken in 2006. The cupcake still sits in the office of the nutrition faculty at LCC. "I see you've discovered the heirloom Twinkies." New Yorker, January 12, 2009
A second reason why processed foods are often cheaper than whole foods is that processing can divide a food (like corn) into many parts that then can be sold individually. It's not the farmer who sees this profit. Consider what happens when a farmer sells his or her corn. That corn can then be processed into many products. |
Refining
is used to obtain other additives used in food processing besides
sweeteners. Three additives make up the "fiber blend" of the pasta on the right. All 3 of these additives (inulin*, xanthum gum and pectin) are non-digestible carbohydrates made by plants, but in the case of this pasta, it takes a factory to refine them from the plants, the way it takes a factory to refine table sugar from beets or corn. When I did a web search to find out where inulin is manufactured, I found 4 regions listed. The majority were in mainland China, some were in the U.S and others were in Australia and Vietnam. Persons choosing to eat foods with inulin should watch for signs of gas and bloating, which occurs in some people. Note that the pasta also has the additive wheat gluten. Gluten is a protein naturally found in wheat, but gluten intolerance is becoming increasingly common, including among people with diabetes. * "Inulin"
is no relation to "insulin).
It gets its name from inula, a large genus of about 90
species of flowering plants in the family Asteraceae, native
to Europe, Asia and Africa.
|
The following website shows you an alphabetical listing of additives (including the sorbitol you see in this pasta) with an evaluation of their safety: CSPI's Guide to Food Additives (Center for Science in the Public Interest). What it says about sorbitol is: "Some
diabetics
use sorbitol-sweetened foods because it is absorbed slowly and does not
cause blood sugar to increase rapidly. Moderate amounts of sorbitol are
safe, but large amounts may have a strong laxative effect and even
cause diarrhea."
|
|
|
III
Digestion
and
Absorption of Carbohydrates A. REVIEW.
After
eating, nothing needs to happen in the digestive tract to the
monosaccharides in a food like grapes because they are already small
enough and they are absorbed as
is. Disaccharides in that grape or in a food
like milk are broken down in the digestive
tract to monosaccharides. Grapes would have
sucrose (in addition to glucose and fructose) which would be broken
down
in the digestive tract to glucose and
fructose, which would be absorbed into the villi. The milk
would have the disaccharide lactose which
would be broken down in
the digestive tract to glucose and galactose. Starch in food
would be broken down in
the digestive tract to glucose molecules. Fiber in
food would NOT be broken
down in the digestive tract because we don't
have the enzymes to do that.
B. While
enjoying a snack of an apple, what carbohydrates must be enzymatically
digested? See if you can answer this
using information on page 64 in your packet.
The fiber in the apple can
not be enzymatically digested.
An apple has the monosaccharides glucose and fructose in it. Those monosaccharides do not need to be enzymatically digested and are absorbed as is. An apple ALSO has the disaccharide sucrose in it. Sucrose is enzymatically digested to molecules of glucose and fructose. |
The Video
Clip below shows Loretta Plaa, retired nutrition faculty at LCC giving
a very
fun explanation of the anatomy of the digestive tract.
Video
Clip: Villiapproximately 12 minutes |
If an
approximately 12-minute movie isn't showing up
just above on
your
computer, you may
not have the latest version of QuickTime on your computer. Click here
to download the newest version of Quick Time. |
Ignore
what the above image says about lipids. We'll talk about
lipids next week.
|
The video clip below should
help you fill in the blanks on page 48 regarding hydrolysis and
consensation.
Video
Clip: Hydrolysis and Condensationfeatures a bit of a 1962 #1 hit song by Neil Sedaka: Breaking Up is Hard to Do |
If an
approximately 3-minute movie isn't showing up
just above on
your
computer, you may
not have the latest version of QuickTime on your computer. Click here
to download the newest version of Quick Time. |
Now look at the chart on page
66
of
your
packet, "Foods and Digestion". Test yourself on the "click here" questions below. Clicking on the correct choices will help you complete part of page 66 in your packet and will help you prepare for MYSTERY QUESTIONS as well as Exam 2. Click here if you think Table Sugar has carbohydrate that needs to be enzymatically digested. Click here if you think Butter has carbohydrate that needs to be enzymatically digested. Click here if you think Soybean oil has carbohydrate that needs to be enzymatically digested. Click here if you think Chicken has carbohydrate that needs to be enzymatically digested. Click here if you think Eggs have carbohydrate that needs to be enzymatically digested. Click here if you think Pinto Beans have carbohydrate that needs to be enzymatically digested. Click here if you think Spinach has carbohydrate that needs to be enzymatically digested. Click here if you think Peas have carbohydrate that needs to be enzymatically digested. Click here if you think Apples have carbohydrate that needs to be enzymatically digested. Click here if you think Pasta has carbohydrate that needs to be enzymatically digested. |
You
should be able to fill in the parts
of the chart on
page
66 in your
packet that were
just discussed.
|
D. There are
two locations in the body where bacterial
digestion of carbohydrates can be a problem. One is the mouth and there
other is the colon
(large intestine). As page 48 of the packet says, what happens in the mouth after eating foods with sugar is that the plaque bacteria eat the sugar (sucrose). To use the energy in that sucrose, they break the sugar down anaerobically (without oxygen). This is the glycolysis part of Cellular Respiration (page 51 in packet). The C on page 51 = carbon. Cellular respiration is actually step 5 of the Wilbur Drawing. During cellular respiration, glucose combines with oxygen (and certain enzymes). This beaks apart the glucose releasing energy as ATP and producing C02 & H20. Use the image below to fill in some of the other blanks on page 51 in packet. |
Can you see that what is left on the teeth
as a result of this anaerobic breakdown is
pyruvic acid? This pyruvic acid destroys the
enamel of teeth with the result being cavities. A few of the ways to decrease your risk of cavities are:
The second location in the body where bacterial digestion of carbohydrates can be a problem is in the colon. Humans, like most other mammals from buffalos to yaks, produce lactose for the milk to nurse their young. It gives their milk an appealing sweet, but not overly sweet, taste. (It has about half the concentration of sugar as the average soft drink.) This photo
of a nursing elephant, as well as the
following photo, was taken by Courtney Fitzpatrick, who grew
up in
Eugene. She is a doctoral student at Duke University in North
Carolina and her research takes her Kenya.
This is at the David Sheldrick Wildlife trust in Nairobi, an organization that cares for orphaned elephants and then eventually reintroduces them to a specific state park in Kenya. Apparently they have pretty high success rates, although it takes a huge amount of human hours to care for them! The more I learn about mammals, the more I'm amazed by their diversity. There are even flying mammals (bats). This is a brown bat, one that is common to Oregon. Bats often weigh less than half an ounce. Compare them to a huge elephant! Bat milk is from about 3-5 % carbohydrate, with most of it being lactose. Some bats feed on pollen and nectar while others feed on insects like mosquitoes. The enzyme lactase, made by a baby, breaks down lactose into two simpler forms of sugar (glucose and galactose), which are then absorbed into the bloodstream and provide glucose to fuel a baby's rapid growth. While fat in the milk can provide energy for the baby's muscles, as we've discussed, glucose is the only significant fuel the human brain and nervous system usually uses. Once a baby stops nursing, most slowly lose the ability to make lactase. While this condition is called lactose intolerance, it's the normal condition for most of the world. About 75% of the world's adults are lactase-deficient, including most Asians, Southeast Asians, Africans, Middle Easterners and Native Americans. Northern Europeans, among whom lactose intolerance is uncommon, have at least a 10,000-year history of dairying and milk consumption which is different from most of the rest of the world. A hypothesis is that at some unknown point in time, a mutation or adaptation occurred that enabled Northern Europeans to produce the enzyme lactase and digest milk as adults. Through natural selection, the frequency of the genetic trait for lactose tolerance increased in dairying societies because individuals with this genetic trait had the advantage of being better nourished. Not only did the milk provide protein, also their calcium absorption was increased by the lactose and the small amount of vitamin D in the milk. In societies living closer to the equator such as in Africa, the sun's ultraviolet light helped them manufacture vitamin D. In Northern Europe, cloud cover limits sunlight for much of the year. Human intestines are full of bacteria that are not lactase-deficient. The bacteria break down lactose because they want the fuel it can provide. This intestinal fermentation produces hydrogen and other gases and molecules that attract water. This can produce symptoms like nausea, gas, bloating, cramps and diarrhea. For a person with lactose intolerance, symptoms begin about 30 minutes to 2 hours after eating or drinking foods containing lactose. One term, a student told me that “lactose intolerance is one of those sliding scale things“ and she was exactly right. The severity of symptoms depends on many factors, including the amount of lactase a person makes and the kinds of bacteria they host. For these reason, not all people deficient in lactase have the symptoms commonly associated with lactose intolerance We definitely do not need to drink milk as adults but what we DO need is calcium and some people find it difficult to get enough calcium without drinking milk. Later in the term, we'll talk more about getting calcium. Getting enough calcium if lactose intolerant:
As more parents are choosing to buy organically-grown foods, concern is developing about how they are sweetened to bring them to the level of human milk. Organic lactose must be extracted from the milk of cows fed organic foods, and the global supplies of organic milk have been "severely stretched in the last three years, driving up the price of the lactose." While "organic formulas, like Earth’s Best and Parent’s Choice, use organic lactose as the added sugar. Organic lactose must be extracted from organic milk, the global supplies of which have been severely stretched in the last three years, driving up the price of the lactose." So at least one brand of organic formula is sweetened with cane sugar, or sucrose, which is much sweeter than sugars used in other formulas. For an All-Organic Formula, Baby, That’s Sweet. By JULIA MOSKIN, New York Times, May 19, 2008. ... "once
babies get used to its sweeter taste, they might resist less
sweet formulas or solid foods; and some studies suggest that they might
overeat, leading to rapid weight gain in the first year, which is often
a statistical predictor of childhood obesity."
(Note from instructor: Since sucrose is half fructose while lactose is half galactose, it seems like the sucrose would taste sweeter.) |
For those
fans of Garrison Keillor's radio show Prairie Home
Companion, here's a funny 3-minute sketch
(with wonderful sound effects) that has a bit to do
with milk:
|
If an approximately 3-minute movie isn't showing up just above on your computer, you may not have the latest version of QuickTime on your computer. Click here to download the newest version of Quick Time. |
Now continue with page 49 of your packet. A. What happens to make BS Rise. After eating foods with carbohydrate, these carbohydrates are digested by enzymes down to monosaccharides and these monosaccharides are absorbed into the blood. Then the fructose & galactose are changed to glucose in liver.
Which of the components of
muscles are surprising to you?
So when your blood sugar falls & liver glycogen is gone, protein in muscles can be used to raise your blood sugar. Now you should be able to list
the 3 ways your body can raise your blood sugar.
C. Excesses of Glucose. When your body has excesses of glucose because you've eaten more than you need, it gets stored as fat. Eating lots of sugar or starch usually does not lead to sustained high blood sugar levels because insulin helps that glucose enters cells, where it can be changed to fat if the glucose is not needed. |
D. Deficiencies of Glucose.
|
approximately 4 minutes |
If an approximately 6-minute movie isn't showing up just above on your computer, you may not have the latest version of QuickTime on your computer. Click here to download the newest version of Quick Time. |
E. Diabetes is not
enough insulin or
ineffective insulin. There are two types of diabetes, Type I and Type
II.
Is this
different than recommendations for non-diabetics?
Rates of diabetes are
exploding world-wide because all over the world,
obesity is a problem. Diabetes
is surging worldwide, By Marc Santora, June 18, 2006, International Herald Tribune. Here's
part
of
what this article says:
"There
are many factors
driving the growth in diabetes worldwide, but most experts agree that
changes in lifestyle and diet are the chief culprits, in addition to
genetic predisposition. As developing countries rapidly industrialize,
people tend to do work involving less physical activity. At the same
time, the availability of food that is cheap but high in calories
becomes more common.
"The combination causes weight gain, which leads to greater risk of developing Type 2 diabetes, the most common form of the disease. The other form, Type 1, is responsible for 5 percent to 10 percent of cases and is not associated with behavior but is believed to stem almost entirely from genetic factors." END of L4B
|